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Published in: Cancer Causes & Control 2/2010

01-02-2010 | Original paper

Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003–2006)

Authors: Brigid M. Lynch, David W. Dunstan, Genevieve N. Healy, Elisabeth Winkler, Elizabeth Eakin, Neville Owen

Published in: Cancer Causes & Control | Issue 2/2010

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Abstract

Objective

Obesity and physical inactivity are poor prognostic indicators for breast cancer. Studies to date have relied on self-report measures of physical activity, which tend mainly to assess moderate-to-vigorous intensity leisure-time physical activity. We report the cross-sectional associations of objectively assessed physical activity and sedentary time with adiposity in a sample of breast cancer survivors from the United States.

Methods

One hundred and eleven women from the National Health and Nutrition Examination Survey (NHANES) 2003–2004 and 2005–2006 reported a history of breast cancer. Participants wore an accelerometer for 7 days, and activity levels were summarized as moderate-to-vigorous intensity (accelerometer counts/min ≥1,952), light intensity (counts/min 100–1,951), and sedentary time (counts/min <100). Anthropometric measures were taken by study staff at examination centers.

Results

Participants spent the majority of their day in sedentary time (66%) or in light intensity activities (33%). Log moderate-to-vigorous intensity physical activity was negatively associated with adiposity (waist circumference β = −9.805 [95% CI: −15.836, −3.775]; BMI β = −3.576 [95% CI: −6.687, −0.464]). Light intensity physical activity was negatively associated with adiposity; however, the fully adjusted models did not retain statistical significance. Similarly, sedentary time was positively associated with adiposity, but the fully adjusted models were not statistically significant.

Conclusions

This is the first study to describe the objectively assessed physical activity and sedentary time of breast cancer survivors. Increasing moderate-to-vigorous and light intensity physical activity, and decreasing sedentary time, may assist with weight management and improve other metabolic health outcomes for breast cancer survivors.
Literature
1.
go back to reference Chlebowski R, Aiello E, McTiernan A (2002) Weight loss in breast cancer patient management. J Clin Oncol 20:1128–1143CrossRefPubMed Chlebowski R, Aiello E, McTiernan A (2002) Weight loss in breast cancer patient management. J Clin Oncol 20:1128–1143CrossRefPubMed
2.
go back to reference Holmes M, Chen W, Feskanich D, Kroenke C, Colditz G (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293:2479–2486CrossRefPubMed Holmes M, Chen W, Feskanich D, Kroenke C, Colditz G (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293:2479–2486CrossRefPubMed
3.
go back to reference Ball K, Owen N, Salmon J, Bauman A, Gore C (2001) Associations of physical activity with body weight and fat in men and women. Int J Obesity 25:914–919CrossRef Ball K, Owen N, Salmon J, Bauman A, Gore C (2001) Associations of physical activity with body weight and fat in men and women. Int J Obesity 25:914–919CrossRef
4.
go back to reference Sallis J, Saelens B (2000) Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport 71:1–14 Sallis J, Saelens B (2000) Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport 71:1–14
5.
go back to reference International Agency for Research on Cancer (2001) Weight control and physical activity. IARC handbooks for cancer prevention. IARC Press, Lyon, p 2 International Agency for Research on Cancer (2001) Weight control and physical activity. IARC handbooks for cancer prevention. IARC Press, Lyon, p 2
6.
go back to reference Donahoo W, Levine J, Melanson E (2004) Variability in energy expenditure and its components. Curr Opin Clin Nutr 7:599–605CrossRef Donahoo W, Levine J, Melanson E (2004) Variability in energy expenditure and its components. Curr Opin Clin Nutr 7:599–605CrossRef
7.
go back to reference Harris T, Owen C, Victor C, Adams R, Ekelund U, Cook D (2009) A comparison of questionnaire, accelerometer, and pedometer: measures in older people. Med Sci Sport Exer 41:1392–1402CrossRef Harris T, Owen C, Victor C, Adams R, Ekelund U, Cook D (2009) A comparison of questionnaire, accelerometer, and pedometer: measures in older people. Med Sci Sport Exer 41:1392–1402CrossRef
8.
go back to reference Hamilton M, Healy G, Dunstan D, Zderic T, Owen N (2008) Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Rep 2:292–298CrossRef Hamilton M, Healy G, Dunstan D, Zderic T, Owen N (2008) Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Rep 2:292–298CrossRef
9.
go back to reference Dunstan D, Salmon J, Healy G et al (2007) Association of television viewing with fasting and 2-h postchallenge plasma glucose levels in adults without diagnosed diabetes. Diabetes Care 30:516–522CrossRefPubMed Dunstan D, Salmon J, Healy G et al (2007) Association of television viewing with fasting and 2-h postchallenge plasma glucose levels in adults without diagnosed diabetes. Diabetes Care 30:516–522CrossRefPubMed
10.
go back to reference Howard R, Freedman D, Park Y, Hollenbeck A, Schatzkin A, Leitzmann M (2008) Physical activity, sedentary behavior, and the risk of colon and rectal cancer in the NIH-AARP diet and health study. Cancer Cause Control 19:939–953 Howard R, Freedman D, Park Y, Hollenbeck A, Schatzkin A, Leitzmann M (2008) Physical activity, sedentary behavior, and the risk of colon and rectal cancer in the NIH-AARP diet and health study. Cancer Cause Control 19:939–953
11.
go back to reference Patel A, Rodriguez C, Pavluck A, Thun M, Calle E (2006) Recreational physical activity and sedentary behavior in relation to ovarian cancer risk in a large cohort of US women. Am J Epidem 163:709–716CrossRef Patel A, Rodriguez C, Pavluck A, Thun M, Calle E (2006) Recreational physical activity and sedentary behavior in relation to ovarian cancer risk in a large cohort of US women. Am J Epidem 163:709–716CrossRef
12.
go back to reference Friberg E, Mantzoros C, Wolk A (2006) Physical activity and risk of endometrial cancer: a population-based prospective cohort study. Cancer Epidem Biomar 15:2136–2140CrossRef Friberg E, Mantzoros C, Wolk A (2006) Physical activity and risk of endometrial cancer: a population-based prospective cohort study. Cancer Epidem Biomar 15:2136–2140CrossRef
13.
go back to reference Wolin K, Colangelo L, Chiu B, Ainsworth B, Chatterton R, Gapstur S (2007) Associations of physical activity, sedentary time, and insulin with percent breast density in Hispanic women. J Womens Health 16:1004–1011CrossRef Wolin K, Colangelo L, Chiu B, Ainsworth B, Chatterton R, Gapstur S (2007) Associations of physical activity, sedentary time, and insulin with percent breast density in Hispanic women. J Womens Health 16:1004–1011CrossRef
14.
go back to reference Wijndaele K, Lynch B, Owen N, Dunstan D, Sharp S, Aitken J (2009) Television viewing time and weight gain in colorectal cancer survivors: a prospective population-based study. Cancer Causes Control 20:1355–1362CrossRef Wijndaele K, Lynch B, Owen N, Dunstan D, Sharp S, Aitken J (2009) Television viewing time and weight gain in colorectal cancer survivors: a prospective population-based study. Cancer Causes Control 20:1355–1362CrossRef
15.
go back to reference Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS). NHANES 2003–2004 and 2005–2006 data files: data, docs, codebooks, SAS code. 2009: NCHS Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS). NHANES 2003–2004 and 2005–2006 data files: data, docs, codebooks, SAS code. 2009: NCHS
16.
go back to reference Matthews C, Chen K, Freedson P et al (2008) Amount of time spent in sedentary behaviors in the United States, 2003–2004. Med Sci Sport Exer 167:875–881 Matthews C, Chen K, Freedson P et al (2008) Amount of time spent in sedentary behaviors in the United States, 2003–2004. Med Sci Sport Exer 167:875–881
17.
go back to reference Craig C, Marshall A, Sjostrom M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sport Exer 35:1381–1395CrossRef Craig C, Marshall A, Sjostrom M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sport Exer 35:1381–1395CrossRef
18.
go back to reference Freedson P, Melanson E, Sirard J (1998) Calibration of the computer science and applications, Inc. accelerometer. Med Sci Sport Exer 30:777–781CrossRef Freedson P, Melanson E, Sirard J (1998) Calibration of the computer science and applications, Inc. accelerometer. Med Sci Sport Exer 30:777–781CrossRef
19.
go back to reference Willett W, Stampfer M (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidem 124:17–27 Willett W, Stampfer M (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidem 124:17–27
20.
go back to reference Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group, and USDA. Food and Nutrient Database for Dietary Studies, 3.0 Hyattsville, MD Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group, and USDA. Food and Nutrient Database for Dietary Studies, 3.0 Hyattsville, MD
21.
go back to reference Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M (2008) Physical activity in the United States measured by accelerometer. Med Sci Sport Exer 40:181–188 Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M (2008) Physical activity in the United States measured by accelerometer. Med Sci Sport Exer 40:181–188
22.
go back to reference Owen N, Bauman A, Brown W (2009) Too much sitting: a novel and important predictor of chronic disease risk? Brit J Sport Med 43:81–82CrossRef Owen N, Bauman A, Brown W (2009) Too much sitting: a novel and important predictor of chronic disease risk? Brit J Sport Med 43:81–82CrossRef
23.
go back to reference Carmichael A (2006) Obesity as a risk factor for development and poor prognosis of breast cancer. BJOG-Int J Obstet Gy 113:1160–1166CrossRef Carmichael A (2006) Obesity as a risk factor for development and poor prognosis of breast cancer. BJOG-Int J Obstet Gy 113:1160–1166CrossRef
24.
go back to reference Herman D, Ganz P, Petersen L, Greendale G (2005) Obesity and cardiovascular risk factors in younger breast cancer survivors: the cancer and menopause study (CAMS). Breast Cancer Res Tr 93:13–23CrossRef Herman D, Ganz P, Petersen L, Greendale G (2005) Obesity and cardiovascular risk factors in younger breast cancer survivors: the cancer and menopause study (CAMS). Breast Cancer Res Tr 93:13–23CrossRef
25.
go back to reference Irwin M, Aiello E, McTiernan A et al (2007) Physical activity, body mass index, and mammographic density in postmenopausal breast cancer survivors. J Clin Oncol 25:1061–1066CrossRefPubMed Irwin M, Aiello E, McTiernan A et al (2007) Physical activity, body mass index, and mammographic density in postmenopausal breast cancer survivors. J Clin Oncol 25:1061–1066CrossRefPubMed
26.
go back to reference Van Pelt R, Evans E, Schechtman K, Ehsani A, Kohrt W (2001) Waist circumference vs body mass index for prediction of disease risk in postmenopausal women. Int J Obesity 25:1183–1188CrossRef Van Pelt R, Evans E, Schechtman K, Ehsani A, Kohrt W (2001) Waist circumference vs body mass index for prediction of disease risk in postmenopausal women. Int J Obesity 25:1183–1188CrossRef
27.
go back to reference Evenson KR, Terry JW (2009) Assessment of differing definitions of accelerometer nonwear time. Res Q Exerc Sport 80:355–362PubMed Evenson KR, Terry JW (2009) Assessment of differing definitions of accelerometer nonwear time. Res Q Exerc Sport 80:355–362PubMed
Metadata
Title
Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003–2006)
Authors
Brigid M. Lynch
David W. Dunstan
Genevieve N. Healy
Elisabeth Winkler
Elizabeth Eakin
Neville Owen
Publication date
01-02-2010
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 2/2010
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-009-9460-6

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